JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Code of Conduct Incident Report Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Provide your name.
*
Your answer
Provide your preferred email.
*
Your answer
Incident Date and Time.
*
Your answer
Describe the incident and where it happened (ex. in Slack, in person, another channel or mailing list). Provide as much context and detail as you can. If there is a publicly available record such as a mailing list archive, please include a link.
*
Your answer
Provide information on the parties involved. Who was present? Who was involved? Who was affected? Please provide names and their roles in the incident (ex. witness, target of harrassment)
*
Your answer
Is there any additional context that you believe existed for the incident, or additional relevant information? Do you believe that this incident is ongoing?
Your answer
Thank you for taking the time to fill out this form and report this violation. Reports of violations will be received by CoC Committee members. You can expect an email acknowledgement of a report normally within 24 hours of receipt.
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Islandora.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
